Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care

Abstract

Aims Occupational and physical therapy in post-acute care (PAC) has reached the point where quality indicators for hip fracture are needed. This study characterizes the practitioners' prioritized hip fracture rehabilitation practices, which can guide future quality improvement initiatives. Methods Ninety-two practitioners participating in a parent mixed methods study were asked to rank a series of evidence-based best practices across five clinical domains (assessment, intervention, discharge planning, caregiver training and patient education). Results Prioritized practices reflected patient-practitioner collaboration, facilitating an effective discharge, and preventing adverse events. The highest endorsed care processes include: developing meaningful goals with patient input (84%) in assessment, using assistive devices in intervention (75%) and patient education (65%), engaging the patient and caregiver (50%) in discharge planning, and fall prevention (60%) in caregiver education. Conclusions Practitioners identified key care priorities. This study lays the foundation for future work evaluating the extent to which these practices are delivered in PAC.

Understanding Communication Between Rehabilitation Practitioners and Nurses: Implications for Post-Acute Care Quality

“…This article is based on a secondary analysis of data derived from a larger qualitative study that examined best practices for hip fracture rehabilitation from the perspectives of rehabilitation practitioners, which are discussed in detail elsewhere (Kim & Leland, 2016; Leland et al, 2018). In brief, following Institutional Review Board approval, the study team conducted in-depth semistructured focus groups with rehabilitation practitioners employed in participating SNFs.…”